RN Case Manager (Full Time, Days) Abington-Jefferson

Abington Memorial Hospital; Abington (MA); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

AD&D insurance

Retirement plans

Tuition assistance

Flexible spending accounts

Job summary

Jefferson Health’s Case Management RN role coordinates care for a defined patient population, leading discharge planning and ensuring safe transitions. Requires strong nursing skills and collaboration with the care team.

You will mentor staff, document assessments, facilitate referrals to social work, and help manage post-acute arrangements, including homecare and facility placements, while maintaining patient advocacy.

Qualifications

• Bachelor's of Nursing RN, PA-licensed.
• Licensed Registered Nurse in Pennsylvania.
• Minimum 3 years RN experience in Case Management or Discharge Planning.

Responsibilities

• Coordinate discharge planning for defined patients.
• Advocate for the patient and family throughout the episode of care.
• Precept and mentor new staff members.
• Document all relevant information in the Medical Record.
• Facilitate referrals and authorizations for post-acute care.

Skills

Interpersonal skills

Patient advocacy

Team collaboration

Discharge planning

Medical documentation

Education

Bachelor's of Nursing RN

Licensed Registered Nurse

Job description

Case Manager RN

Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients.

Job Duties

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Advocates for the patient and family throughout the entire episode of care.

Functions as a resource to facilitate communication among the healthcare team and patient/family.

Facilitates patient progression throughout the patient’s hospital stay.

Reviews patient length of stay/barriers data to facilitate patients’ progression during Multidisciplinary Rounds and Escalation/Outlier meetings.

May facilitate daily patient Plan of Care Huddle Rounds functioning as the Patient Progression Leader or supports the identified Patient Progression Leader.

Escalates unresolved barriers to Department Leadership.

Additional duties as assigned.

Precept and mentor new staff members to their role and department.

Meets with patient/family to assess needs to complete an initial Case Management Assessment per Department policy and procedure, then develops an initial discharge plan.

Refers appropriate cases for Social Work intervention and involvement.

Documents all relevant information in the Medical Record according to Department policies and procedures.

Facilitates patient transfers to other acute care hospitals.

Communicates with identified Department staff to initiate and facilitate referrals and authorizations for post-acute care services and any medical necessity issues.

Refers cases and identified issues to the Physician Advisor in compliance with departmental procedures and follows up as indicated.

Keeps supervisor informed of any issues.

Confirms patients continues medical stability for pre-arranged discharges for the respective weekend day.

Performs discharge planning assessment and develops relevant interventions specifically trauma patients.

Facilitate and coordinate discharge plans for patients identified to leave on the weekend, including homecare/hospice services; transportation; post-acute facility placement.

Obtain relevant post-authorizations.

Completes patient assessments so that weekend discharges can be facilitated.

Manages Livanta appeal determinations and if necessary addresses alternate discharge plans.

Provides updates to post-acute facility liaisons regarding possible weekend discharges.

Provides updates for week day staff, per departmental procedures.

Case Management Safety Competencies

Identified patients using the appropriate patient identifiers.

Utilizes interdisciplinary collaborative team approach to patient care planning and discharge coordination.

Ensures patient medical information is properly communicated to external providers/facilities.

Communications discharge plan to patient, family and members of multidisciplinary team.

Ensures information is transferred to external providers/facilities.

Understands the impact of developmental stage on adjustment to illness/trauma.

Demonstrates ability to identify adolescent behaviors concerning body image, independence, sexual identity, interference with ability to establish identity, tendency to deny or minimize severity of illness.

Allows adult patient to maintain control and involves family in decision-making.

Assesses and anticipates discharge planning needs to ensure a safe and effective transition to the next level of care for the patient (home, rehab or skilled facility).

Involves family/patient/guardian in the decision-making process related to discharge planning.

Exhibits effective communication skills while working with neonate, infant, adolescent, adult, and geriatric patient.

Demonstrates ability to recognize the signs of physical and/or emotional abuse or neglect to help identify victims.

Follows appropriate policy and procedures for reporting of abuse.

Demonstrates the ability to identify hearing and sight deficiencies.

Minimum Qualifications

Bachelor's of Nursing RN - Licensed Registered Nurse - PA - State of Pennsylvania

Minimum 3 years RN experience RN Case Management or Discharge Planning Experience (highly preferred)

Demonstrates effective use of conflict resolution skills as necessary to ensure timely resolution of issues.

Applies initial DRG for all inpatients and document in the Care Advance (applicable hospitals).

Completes an initial assessment to assess patient’s needs and resources for discharge planning.

Establishes discharge plan including homecare services, transportation, post-acute facility placements.

Ensures all Post-Acute authorizations are secured for patients discharge.

Precept and mentor new staff members to their role and department.

Meets with patient/family to assess needs to complete an initial Case Management Assessment per Department policy and procedure, then develops an initial discharge plan.

Refers appropriate cases for Social Work intervention and involvement.

Documents all relevant information in the Medical Record according to Department policies and procedures.

Facilitates patient transfers to other acute care hospitals.

Communicates with identified Department staff to initiate and facilitate referrals and authorizations for post-acute care services and any medical necessity issues.

Refers cases and identified issues to the Physician Advisor in compliance with departmental procedures and follows up as indicated.

Shift/Hours

Full Time/Days - 40 hours weekly (8:00am-4:30pm) Holiday/weekend requirement + overnight trauma on-call (rotation) required

Physical Demands

Lift and carry 40-50 lbs. Examples: Push/pull patients on bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight. Frequent to continuous standing/walking. Patient transporters can walk 8-10 miles per shift. *Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Benefits

• Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

Primary Location

Primary Location Address 1200 Old York Road, Abington, Pennsylvania, United States of America

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

We invite you to consider joining Jefferson.

With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, We Improve Lives, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.